• Clinical Provider Auditor…

    Elevance Health (Nashville, TN)
    ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
    Elevance Health (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
    Highmark Health (05/09/25)
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